1. What are the attributes of higher level practice? Expert in clinical practice Able to work in multidisciplinary teams Dissemination and contribution to evidence Training, support and mentorship of staff Managing a team and a caseload Leadership skills

2. Competency Framework General Level Competency Framework Advanced Level

3. Cluster Foundation F-E Excellence E-M Mastery Expert Practice Building Relationships Leadership Management E&T and Development Research and Evaluation ACLF 16.3 Level 7 Level 8 Second cycle Third cycle MSc(Adv) DClinSci/PhD/MRes

4. Expert professional practiceExpert skills and knowledge Patient care responsibilities Reasoning and judgement Professional autonomy Building working relationships Communication Teamwork and consultation LeadershipVision, motivation, governance Strategy, innovation Service development ManagementPlanning, performance, change Priorities, resources, standards, risk Education, training, development Mentorship role model delivery CPD Research and evaluationPractice linkage, policy Critical evaluation, protocol review Evidence creation, development Supervision, partnerships ACLF

5. Awarded Master in Adv Practice Statement of completion of Practice (University / JPB accredited- RC recognised ?) PG DipGPP Award (or equivalent) New D Clin Sci [or mod map to professional D] (Specialism) & critical adjacencies L / M / E&D / R&E MSc Adv Pract Two years EPP / BWR

6. Challenges…? Equivalence between specialism and generalism Practicalities of rotations & placements Maintenance of the service Curriculum & assessments Supply and demand

7. EPP / BWR L & M Assessment? Eg: Experience, Portfolios, learning Evidence E&D R&E Learning sets All linked to the assignments & learning outcomes- academically robust Syllabus & curriculum determined by and set by expert practitioners- Recognised (accredited) training centres Assessment? Eg: Change management assignment Assessment? Eg: Teaching portfolio Assessment? Eg: Ethics submission/ audit work Awarded Master in Adv Practice Statement of completion of Practice Element (University / JPB accredited- RC recognised ?)

8. “Royal College” All sectors specialism JPBs (locality based) Accreditation infrastructure, assessment, QA, evidence Practitioners who need registering at Foundation, Advanced, PwSI